ArticleEye and vision (London, England)2023
Visual and patient-reported outcomes of a diffractive trifocal intraocular lens in highly myopic eyes: a prospective multicenter study.
Article in Eye and vision (London, England), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 18 citations in OpenAlex.
- Selecting the myopic target for an enhanced monofocal IOL in highly myopic eyes: -2.0 D versus - 3.0 D.Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv fur klinische und experimentelle Ophthalmologie · 2026Article
- Distance Visual Outcomes of Trifocal Intraocular Lenses in Highly Myopic Eyes Without Myopic Maculopathy.Clinical ophthalmology (Auckland, N.Z.) · 2026Article
- Visual outcomes and satisfaction in patients with high myopia after cataract surgery with trifocal intraocular lens implantation.Journal of cataract and refractive surgery · 2025Article
- Comparison of visual quality after implantation of trifocal intraocular lenses with different diopter values in the two eyes: a retrospective study.BMC ophthalmology · 2025Observational
- Performance of Trifocal Intraocular Lens Implantation in Highly Myopic Patients With and Without Astigmatism.Cureus · 2025Article
- Visual effects of trifocal intraocular lens implantation in cataract patients with different refractive states.BMC ophthalmology · 2025Article
- Implantation of trifocal intraocular lens in mild pathologic myopia: visual outcomes and influence of fundus structures.BMC ophthalmology · 2025Article
- Impact of central corneal astigmatism on postoperative visual outcomes in patients undergoing trifocal intraocular lens implantation.BMC ophthalmology · 2025Article
- Ocular biometric parameters associated with the performance of actual near-add power in multifocal intraocular lenses.International journal of ophthalmology · 2025Article
- Binocular visual performance and optical quality of trifocal intraocular lens in Chinese patients with high myopic cataract.PloS one · 2025Article
- Comparison of bilateral implantation of monofocal intraocular lenses with enhanced intermediate function targeting with - 2.00 D and emmetropia in moderate to high myopic Asian patients.Eye and vision (London, England) · 2024Article
- The Postoperative Visual and Refractive Outcomes of Trifocal and Extended Depth-of-Focus Intraocular Lenses in Patients with Different Biometric Characteristics.Diagnostics (Basel, Switzerland) · 2024Article
- Extended depth of focus IOL in eyes with different axial myopia and targeted refraction.BMC ophthalmology · 2024Article
- Effectivity and safety of trifocal intraocular lenses and capsular tension rings implantation for cataract patients with axial high myopia.International journal of ophthalmology · 2024Article
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Authors and funding
10 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundTo investigate the visual and patient-reported outcomes of a diffractive trifocal intraocular lens (IOL) in highly myopic eyes.
methodsPatients with planned cataract removal by phacoemulsification and implantation of a trifocal IOL (AT LISA tri 839MP) were enrolled in the prospective, multicenter cohort study. Patients were allocated into three groups according to their axial length (AL): control group, AL < 26 mm; high myopia group, AL 26-28 mm; extreme myopia group, AL ≥ 28 mm. At 3 months post-surgery, data for 456 eyes of 456 patients were collected, including visual acuity, defocus curve, contrast sensitivity (CS), visual quality, spectacle independence, and overall satisfaction.
resultsAfter surgery, the uncorrected distance visual acuity improved from 0.59 ± 0.41 to 0.06 ± 0.12 logMAR (P < 0.001). In all three groups, about 60% of eyes achieved uncorrected near and intermediate visual acuity of 0.10 logMAR or better, but significantly fewer eyes in the extreme myopia group achieved uncorrected distance visual acuity of 0.10 logMAR or better (P < 0.05). Defocus curves revealed that the visual acuity was significantly worse in the extreme myopia group than others at 0.00, - 0.50, and - 2.00 diopters (P < 0.05). CS did not differ between the control and high myopia groups but was significantly lower in the extreme myopia group at 3 cycles per degree. The extreme myopia group also had greater higher-order aberrations and coma, lower modulation transfer functions and VF-14 scores, more glare and halos, worse spectacle independence at far distance, and consequently lower patient satisfaction than others (all P < 0.05).
conclusionsIn eyes with a high degree of myopia (AL < 28 mm), trifocal IOLs have been shown to provide similar visual outcomes to those in non-myopic eyes. However, in extremely myopic eyes, acceptable results may be obtained with trifocal IOLs, but a reduced level of uncorrected distance vision is expected.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.